World Harvest Church, Inc. v. Guideone Mutual Insurance

586 F.3d 950, 2009 U.S. App. LEXIS 23944, 2009 WL 3490872
CourtCourt of Appeals for the Eleventh Circuit
DecidedOctober 30, 2009
Docket08-17258
StatusPublished
Cited by33 cases

This text of 586 F.3d 950 (World Harvest Church, Inc. v. Guideone Mutual Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
World Harvest Church, Inc. v. Guideone Mutual Insurance, 586 F.3d 950, 2009 U.S. App. LEXIS 23944, 2009 WL 3490872 (11th Cir. 2009).

Opinion

CARNES, Circuit Judge:

This is an insurance case raising some questions of Georgia law.

Without issuing a written reservation of rights, an insurer assumed the defense of a lawsuit for almost eleven months but stopped defending near the end of the discovery period because it decided that there was no coverage. At that point the policy holder hired its own attorneys to defend the lawsuit. About one month after the new attorneys entered an appearance in the lawsuit, the insurer filed a motion for summary judgment. The policy holder’s new attorneys filed a motion requesting more time for discovery, and that motion was denied. The case was transferred to another judge, who partially granted summary judgment to the plaintiff and awarded damages. The final judgment was entered about 17 months after the policy holder’s new lawyers had filed notice of their appearance in the case. An appeal was taken but the plaintiff and policy holder later settled for a damage award of $1 million.

The policy holder, who is the plaintiff in this case, has filed this lawsuit against the insurer in an attempt to force the insurer to treat the earlier judgment as covered under the policy even though it actually was not. 1 Whether that attempt will suc *952 ceed depends on the doctrine of waiver and estoppel.

Under Georgia law, “risks not covered by the terms of an insurance policy, or risks excluded therefrom, while normally not subject to the doctrine of waiver and estoppel, may be subject to the doctrine where the insurer, without reserving its rights, assumes the defense of an action or continues such defense with knowledge, actual or constructive, of noncoverage.” Prescott’s Altama Datsun, Inc. v. Monarch Ins. Co., 253 Ga. 317, 319 S.E.2d 445, 446 (1984) (emphasis added) (citations omitted). The first issue this case presents is whether the insurer’s actions effectively reserved its rights. If the answer to that issue is, as we believe, that they did not reserve its rights, the second and more difficult issue is whether the waiver and estoppel doctrine requires a showing that the insured actually was prejudiced by the insurer’s assumption of the defense. And, if actual prejudice must be shown, the third issue is whether the facts of this case do show it.

The only way we can be sure that the state law questions that underlie those three issues are answered correctly is to certify them to the Georgia Supreme Court. See Blue Cross & Blue Shield of Ala., Inc. v. Nielsen, 116 F.3d 1406, 1413 (11th Cir.1997) (noting that the final arbiter of state law is the state supreme court, which means it is the only authoritative voice on that state’s law).

I.

Between 1995 and 1999, Michael E. Gause and Charles Richard Homa operated an automobile title lending business called Cash 4 Titles or C4T, which was actually an elaborate Ponzi scheme. See SEC v. Homa, 514 F.3d 661, 664 (7th Cir.2008). Innocent investors in that scheme lost more than $165,000,000. Id. During that time Gause, who was a member of World Harvest Church, donated a great deal of money to it. His donations included a $1 million wire transfer from a Cayman Islands bank account.

In October 1999 government officials arrested Gause and Homa for operating the Ponzi scheme. SEC v. Homo, No. 99 C 6895, 2004 WL 1093492, at *1 (N.D.Ill. May 13, 2004) (unpublished). The Securities and Exchange Commission then filed a civil enforcement lawsuit against Gause, Homa, and the other Ponzi scheme participants. 2 Id. World Harvest was not a defendant in the SEC lawsuit. See id.

The SEC lawsuit proceeded in federal district court in Illinois, and in November 1999 that court appointed Phillip Stenger as Receiver to marshal and conserve for the benefit of investors the assets of the individuals and the entities involved in the Ponzi scheme. Id. (“The Receiver’s general mandate is to marshal C4T related assets for the benefit of investors.”). At the conclusion of the SEC lawsuit, Homa consented to a civil judgment in the amount of $157,993,830.25, plus $35,248,523.55 in prejudgment interest. Homa, 514 F.3d at 665 n. 3. Gause also agreed to make a civil disgorgement in the amount of $193,242,353.80. Stenger v. World Harvest Church, Inc., No. Civ. A.1:04CV00151-RW, 2006 WL 870310, at *1 (N.D.Ga. March 31, 2006) (unpublished). In 2000 Homa pleaded guilty to criminal charges of securities fraud and served time in prison. See id.; Homa, 514 F.3d at 665 *953 n. 4. In 2001 Gause pleaded guilty to securities fraud in federal district court in New York and was also sentenced to prison. Stenger, 2006 WL 870310, at *1.

Continuing his work as Receiver, Stenger sought to recover additional money for the people who had invested in the Ponzi scheme. In February 2001 Stenger demanded that World Harvest return about $1.8 million of Gause’s donations. He sent World Harvest a letter asserting that:

[s]ince the money contributed by Gause and Pearson through their related entities was fraudulently obtained from the Cash 4 Titles ponzi scheme, the transfers were clearly fraudulent conveyances. It makes no difference that the church may have received the funds in good faith or that the money may have already been spent on religious or charitable activities. Controlling case law makes it clear that under such circumstances the Receiver is entitled to recover all funds and assets that the church received from Michael Gause, Dean Pearson and their related entities.

World Harvest did not return the money, so in November of 2002 Stenger filed a lawsuit against it in federal court in Illinois asserting fraudulent transfer and unjust enrichment claims. In February of 2003, Julie Loehr, Office Administrator for World Harvest, sent a letter to GuideOne Mutual on behalf of Pastor Mirek Hufton, informing GuideOne Mutual that the church had been named as a defendant in the Illinois lawsuit. Loehr’s letter asked GuideOne Mutual to “provide clarification concerning either coverage for litigation costs or any indemnification coverage.” Because the lawsuit had been filed in Illinois, GuideOne Mutual’s Indianapolis office, GuideOne Elite Insurance Company, reviewed the claim. 3 In February 2003 GuideOne Elite responded with a certified letter to Loehr at World Harvest expressing concern about whether World Harvest’s insurance policy covered the claims in the Illinois lawsuit. The letter explained to Loehr and to World Harvest that GuideOne Elite “reserve[d] the right to deny any and all liability.” GuideOne Elite ultimately concluded that the policy did not cover the Illinois action. The Illinois federal lawsuit was later dismissed for lack of personal jurisdiction.

In January 2004 Stenger filed a similar lawsuit (the lawsuit that would lead to this one) against World Harvest in the United States District Court for the Northern District of Georgia.

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Cite This Page — Counsel Stack

Bluebook (online)
586 F.3d 950, 2009 U.S. App. LEXIS 23944, 2009 WL 3490872, Counsel Stack Legal Research, https://law.counselstack.com/opinion/world-harvest-church-inc-v-guideone-mutual-insurance-ca11-2009.